Camen Behavioral Services, Llc | |
148 Wilshire Blvd Casselberry FL 32707 | |
(407) 687-4439 | |
Not Available |
Full Name | Camen Behavioral Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 148 Wilshire Blvd, Casselberry, Florida |
Authorized Official Name and Position | Claire Alexis Lottman (CEO) |
Authorized Official Contact | 3219724039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Camen Behavioral Services, Llc 148 Wilshire Blvd Casselberry FL 32707-5372 Ph: (407) 687-4439 | Camen Behavioral Services, Llc 148 Wilshire Blvd Casselberry FL 32707 Ph: (407) 687-4439 |
NPI Number | 1043685233 |
---|---|
Provider Enumeration Date | 12/14/2015 |
Last Update Date | 04/15/2020 |
Certification Date | 04/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043685233 | NPI | - | NPPES |
014487800 | Medicaid | FL | |
017804811 | Medicaid | FL | |
017804814 | Medicaid | FL | |
017804807 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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